 Here at the University of Maryland Medical Center, we treat clubfoot and other congenital foot conditions in children. Based on my fellowship training, I've been able to adapt these techniques, primarily the Ponsetti method, which is a non-operative or minimally operative form of treatment for clubfoot. It's become quite popular, and it prevents the need for major reconstructive surgery in the future. What it is, it's weekly casting that is done starting when the child is either out of the NICU, mother-baby bonding has fully occurred, and the earlier the better, and what ends up happening is we will cast the child with casts each week to take the foot from this position and gradually swing the foot outward so that it looks more normal. And then after that, the foot is pointing down, so the last step of the treatment is to make a small cut in the back where the Achilles is to raise the arch and decrease the pull of the Achilles tendon, and that is usually the final step. Sometimes children at the age of about two or three could develop a walking pattern which causes the forefoot to tilt over, and if that occurs another smaller surgery may be indicated at that time, but usually that is not the case. And it's usually reserved also for cases that have maybe progressed a little too far and knowing that there's different variations to this clubfoot and that not every case is the same. Having it provided us able to recognize that is also very important. Success in my opinion is when no one even does a double take or even decides that they're even going to second guess, did the child ever have a clubfoot or is there any deformity present or what's wrong with this individual. I love it for them just to be as mainstream as they can possibly be and as functional as they can possibly be and participate in activities.